“心脑共主神明”的科学内涵及其在针灸治疗失眠症中的应用  

The Scientific Connotation of“Heart and Brain Co-Dominating the Mind”and Its Application in the Treatment of Insomnia by Acupuncture

作　　者：张玉婷 秦珊 王晓秋 林立宇 李沐风 吴文忠 刘成勇 ZHANG Yuting;QIN Shan;WANG Xiaoqiu;LIN Liyu;LI Mufeng;WU Wenzhong;LIU Chengyong(Department of Acupuncture and Rehabilitation,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Department of Preventive Treatment,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Psychiatry Department,Nanjing Hospital of Chinese Medicine,Nanjing 210001,China)

机构地区：[1]南京中医药大学附属医院针灸康复科,江苏南京210029 [2]南京中医药大学附属医院治未病科,江苏南京210029 [3]南京市中医院神志病科,江苏南京210001

出　　处：《南京中医药大学学报》2025年第2期181-188,共8页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(82274631);国家自然科学基金青年科学基金项目(82205252);江苏省重点研发计划(社会发展)项目(BE2023793);江苏省中医药管理局基地项目(JD2022SZXMS01);南京中医药大学自然科学基金项目(XZR2021004)。

摘　　要：讨论了“心脑共主神明”的科学内涵,包括“心脑共主神明”的中医内涵以及现代医学中心脏与大脑的生理、病理联系。并基于“心脑共主神明”理论认识失眠症,认为“神不安舍”是失眠症的核心病机,调神是针灸治疗失眠症的关键。自主神经系统(ANS)作为连接心脑的桥梁,与睡眠的中枢解剖、神经递质及生理节律密切相关。ANS的失衡状态与中医所说的“心脑神不安舍”病机高度契合。督脉络脑贯心,“通督调神针法”能够沟通心脑,调节ANS功能,进而改善睡眠质量。The paper discusses the scientific connotation of“heart and brain co-dominating the mind”,including the connotation of“heart and brain co-dominating the mind”in traditional Chinese medicine and the physiological and pathological relationship between heart and brain in modern medicine.Based on the understanding of“heart and brain co-dominating the mind”,this paper believes that“restlessness of mind”is the core pathogenesis of insomnia,and regulating mind is the key to the acupuncture and moxibustion treatment of insomnia.The autonomic nervous system(ANS)is a bridge connecting the heart and brain,and is closely related to the central anatomy,neurotransmitters and physiological rhythms of sleep.The imbalance of ANS is highly consistent with the pathogenesis of“heart and brain restlessness”in traditional Chinese medicine.The Governor Vessel runs through the brain and the heart,and the“Governor Vessel regulating spirit acupuncture”can communicate the heart and brain,regulate ANS function,and thus improve sleep quality.

关 键 词：失眠症 心脑共主神明 自主神经 针刺 科学内涵 通督调神针法 《灵枢》 

分 类 号：R256.23[医药卫生—中医内科学]